Individual provider Active NPI

Christine Dimino

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1508374273
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00793800 Issued in NJ
Practice address
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone
(866) 389-2727
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP028225 PA
Family Nurse Practitioner 363LF0000X 352852 NY
Family Nurse Practitioner 363LF0000X 5020252 NC
Family Nurse Practitioner 363LF0000X R55424 ND
Family Nurse Practitioner 363LF0000X CP003098 SD
Family Nurse Practitioner 363LF0000X 0024189095 VA
Family Nurse Practitioner 363LF0000X 14925-33 WI
Family Nurse Practitioner 363LF0000X APNRX.28239 SC
Family Nurse Practitioner 363LF0000X 12.012747 CT
Family Nurse Practitioner 363LF0000X GAA-NP001964 GA
Family Nurse Practitioner 363LF0000X APRN-CNP118125 WV
Family Nurse Practitioner 363LF0000X LG-0012346 DE
Family Nurse Practitioner 363LF0000X 26NJ00793800 NJ Primary
Family Nurse Practitioner 363LF0000X AC005604 MD

Addresses

Primary practice location

307 Egg Harbor Rd
Sewell, NJ 08080-1850

Mailing address

307 Egg Harbor Rd
Sewell, NJ 08080-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA, SC, NY, CT, WI, GA, NC8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20180306000274 NJ Practitioner - Nurse Practitioner 0941561070 Reassigns benefits to 1 organization
I20240214000545 VA Practitioner - Nurse Practitioner 0941561070
I20240304001678 SC Practitioner - Nurse Practitioner 0941561070
I20240305000328 NY Practitioner - Nurse Practitioner 0941561070 Reassigns benefits to 1 organization
I20240305000587 CT Practitioner - Nurse Practitioner 0941561070
I20240314003716 WI Practitioner - Nurse Practitioner 0941561070
I20240619001581 GA Practitioner - Nurse Practitioner 0941561070
I20241113001858 NC Practitioner - Nurse Practitioner 0941561070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

4 Ryan Rd
Marlboro, NJ 07746-2445
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.012747CTMDFamily Nurse Practitioner
LG-0012346DEMDFamily Nurse Practitioner
GAA-NP001964GAMDFamily Nurse Practitioner
AC005604MDMDFamily Nurse Practitioner
R55424NDMDFamily Nurse Practitioner
26NJ00793800NJMDFamily Nurse Practitioner
352852NYMDFamily Nurse Practitioner
APNRX.28239SCMDFamily Nurse Practitioner
CP003098SDMDFamily Nurse Practitioner
0024189095VAMDFamily Nurse Practitioner
14925-33WIMDFamily Nurse Practitioner
APRN-CNP118125WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Feb 19, 2018 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Aug 16, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jan 25, 2024 Accepting new patients

Locations

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1508374273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801850",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMINO",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352852",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R55424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14925-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APNRX.28239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.012747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN-CNP118125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012346",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00793800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.